Is D0388 covered by most dental insurance plans?

Coverage varies by plan. It's important to check with the patient's insurance provider for specific coverage details and any pre-authorization requirements.

Can D0388 be used for routine dental check-ups?

D0388 is typically reserved for cases requiring detailed analysis and is not generally used for routine check-ups unless clinically justified.

Are there any patient safety concerns with tomosynthesis imaging?

Tomosynthesis uses low-dose radiation, similar to standard X-rays, and is considered safe. However, patient safety protocols should always be followed.

How should the images captured under D0388 be stored?

Images should be stored digitally in compliance with HIPAA regulations, ensuring patient privacy and data security.

D0388

Intraoral Tomosynthesis Bitewing - CDT Code Guide

Diagnostic/Image Capture Only

Overview

CDT code D0388 refers to the intraoral tomosynthesis bitewing radiographic image capture. This diagnostic procedure involves capturing detailed, layered images of the teeth and surrounding structures using advanced tomosynthesis technology. Unlike traditional bitewing X-rays, tomosynthesis provides a three-dimensional view, allowing for enhanced detection of dental issues such as cavities, bone loss, and other abnormalities. This code is specifically for the image capture process and is typically used in cases where a more detailed analysis is required beyond standard imaging techniques. Dental professionals utilize this advanced imaging method to obtain clearer insights into a patient's oral health, aiding in more accurate diagnosis and treatment planning.

When to Use This Code

When a detailed view of interproximal caries is needed
In cases of suspected periodontal disease requiring layered imaging
For patients with complex dental histories needing comprehensive evaluation
When traditional bitewing X-rays are inconclusive
To assess bone levels and detect early signs of bone loss

Documentation Requirements

Patient's consent for radiographic imaging
Clinical indication for the use of tomosynthesis imaging
Detailed radiographic report including findings and interpretations
Date and time of the image capture
Technician or dentist responsible for the image capture
Storage and maintenance of the digital images as per HIPAA guidelines

Billing Considerations

When billing for D0388, ensure that the procedure is justified by clinical necessity and documented appropriately. Be aware of any frequency limitations imposed by insurance providers, as some may restrict the number of advanced imaging procedures covered within a certain timeframe. Common modifiers such as -52 (reduced services) may apply if the procedure is not fully completed. Verify with the patient's insurance for specific coverage details and pre-authorization requirements.

Related CDT Codes

D0210 D0272 D0330 D0350 D0364

Frequently Asked Questions

Tomosynthesis provides a three-dimensional view, offering more detailed images compared to the two-dimensional view of traditional bitewing X-rays.

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